Key result
A 32-year-old woman presenting with severe abdominal pain and no cardiac risk factors was diagnosed with an inferior wall myocardial infarction using serial EKGs and bedside echocardiography.
Why the study?
ACS is typically symptomatic and seen in the elderly, making an ACS event in younger patients, particularly if presenting without typical symptoms, a diagnostic challenge.
Case Report (n=1)
Young patients can present with atypical symptoms of acute myocardial infarction mimicking acute abdominal pain, highlighting the importance of serial EKGs and bedside echocardiography to prevent missed diagnoses.
In acute myocardial infarction, time equals muscle. Diagnosis and intervention within one to two hours of pain onset decreases mortality significantly.1 An event of acute coronary syndrome (ACS) is usually symptomatic and commonly seen in elderly population. Hence, ACS event in younger population, especially if asymptomatic, makes it a formidable diagnostic challenge. The following case is of a 32-year old woman who presented to the emergency room with severe abdominal pain; without any associated symptoms of chest pain, shortness of breath, palpitations, dizziness or sweating and was diagnosed with an inferior wall myocardial infarction (MI).
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Mohsin et al. (2019) conducted a case report in Inferior wall Myocardial Infarction (n=1). Atypical presentation of myocardial infarction was evaluated. A 32-year-old woman presenting with severe abdominal pain and no cardiac risk factors was diagnosed with an inferior wall myocardial infarction using serial EKGs and bedside echocardiography.
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